The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on single--incision suburethral short tape insertion for stress urinary incontinence in women.
Stress urinary incontinence is the involuntary leakage of urine during exercise or certain movements such as coughing, sneezing and laughing. It is usually due to weak or damaged muscles and connective tissues in the pelvic floor. Single incision sub-urethral short tape insertion involves the insertion of a short synthetic tape under the urethra, through an incision in the vagina. The tape aims to support the urethra (the passage through which urine leaves the bladder), to reduce the chance of urine leaking when the bladder is put under pressure.
M53.8 Other specified vaginal operations to support outlet of female bladder
Note: Code M45.9 Unspecified diagnostic endoscopic examination of bladder would also be recorded if a cystoscopy was also performed.
In addition ICD-10 code N39.3 Stress incontinence would be recorded.
The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.
The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. www.connectingforhealth.co.uk/clinicalcoding